
Symptoms may be mild or harsh and may include fever, headache, constipation or diarrhea, rose-colored spots on the trunk and a distended spleen and liver. Relapses are ordinary. Fatalities are less than 1 percent with antibiotic action. Symptoms usually appear one to three weeks after exposure. The carrier stage varies from a quantity of days to years. Only about 3 percent of cases go on to become lifelong carrier of the germ and this tends to happen more often in adults than in children. Specific antibiotics such as chloramphenicol, ampicillin or ciprofloxacin are often used to pleasure cases of typhoid.
Because the germ is passed in the feces of impure people, only people with active diarrhea who are unable to control their bowel behavior should be isolated. Most infected people may return to work or school when they have healthier, provided that they carefully wash hands after toilet visits. Children in daycare, health care workers, and persons in other responsive settings must obtain the approval of the local or state health department before returning to their custom activities. Food handlers may not return to work until three successive negative stool cultures are confirmed.
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